Active NPI
Andrew Alan Lijewski, D.C.
- Chiropractor
- Glendale, WI
National Provider Identifier
1417271909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4601-012
- Practice address
- 2500 W Silver Spring Dr
Glendale, WI 53209-4218 - Phone
- (414) 395-1279
- Fax
- (414) 488-0046
- NPI assigned
- Mar 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4601-012 | WI | Primary |
Addresses
Primary practice location
2500 W Silver Spring Dr
Glendale, WI 53209-4218
Mailing address
2500 W Silver Spring Dr
Glendale, WI 53209-4218
Phone (414) 395-1279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4601-012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1417271909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W SILVER SPRING DR",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532094218",
"telephone_number": "414-395-1279",
"fax_number": "414-488-0046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W SILVER SPRING DR",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532094218",
"telephone_number": "414-395-1279",
"fax_number": "414-488-0046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIJEWSKI",
"first_name": "ANDREW",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-26",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4601-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.